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当代围手术期血流动力学监测

Contemporary perioperative haemodynamic monitoring.

作者信息

Pang Qianyun, Hendrickx Jan, Liu Hong-Liang, Poelaert Jan

机构信息

Department of Anesthesiology, Chongqing University Cancer Hospital & Chongqing Cancer Institute and Chongqing Cancer Hospital, Chongqing, China.

Department of Anesthesiology and Critical Care, OLV Ziekenhuis, Aalst, Belgium.

出版信息

Anaesthesiol Intensive Ther. 2019;51(2):147-158. doi: 10.5114/ait.2019.86279.

Abstract

Haemodynamic monitoring is the cornerstone in the optimization of tissue perfusion and the prevention of deteriorating metabolism. Haemodynamic alterations could be summarized in terms of cardiac dysfunction, changes of loading conditions (preload or/and afterload), and patient related issues. This review aims to present the clinical applications of different haemodynamic monitoring techniques, discuss advantages and disadvantages, and provide guidance to help the clinician select those techniques suitable to optimize haemodynamics in individual patients during the perioperative period.

摘要

血流动力学监测是优化组织灌注和预防代谢恶化的基石。血流动力学改变可概括为心脏功能障碍、负荷条件(前负荷或/和后负荷)变化以及患者相关问题。本综述旨在介绍不同血流动力学监测技术的临床应用,讨论其优缺点,并提供指导,以帮助临床医生选择适合在围手术期优化个体患者血流动力学的技术。

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